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J Liver Cancer > Volume 16(2); 2016 > Article
Journal of Liver Cancer 2016;16(2):118-122.
DOI: https://doi.org/10.17998/jlc.16.2.118    Published online September 30, 2016.
A Case of Successful Hepatic Resection after Insufficient Response to Transarterial Chemoembolization and Radiation Therapy in Hepatocellular Carcinoma with Portal Vein Invasion
Seong Kyun Na, Hyung Joon Yim, Sang Jun Suh, Young Kul Jung
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Korea
Correspondence:  Hyung Joon Yim,
Email: gudwns21@medmail.co.kr
Copyright ©2016 by The Korean Liver Cancer Association
Abstract
Hepatocellular carcinoma (HCC) with portal vein invasion has a poor prognosis. Treatments such as transarterial chemoembolization (TACE), radiation therapy (RT), sorafenib are done as a first line treatment. But in case of incomplete response to first line treatment, there’s no established guideline about salvage treatment. We present a 47 year-old male who was diagnosed as HCC with portal vein invasion. He was treated with RT and repeated TACE, but remnant viable tumor was observed. Surgical resection was performed as a salvage treatment, and HCC was completely removed. He has been followed up over 3 years, but there was no recurrence.
Key Words: Hepatocellular carcinoma; Portal vein; Thrombosis; Surgery
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